135 results
ECG Changes with Potassium Imbalance
 - Normokalemia
 - Hypokalemia
 - Hyperkalemia

#Hypokalemia #Hyperkalemia #ECG #potassium #cardiology #ekg
ECG Changes with ... Potassium Imbalance ... #Hyperkalemia #ECG ... #potassium #cardiology ... #ekg #electrocardiogram
EKG showing prominent U waves due to hypokalemia. Serum potassium 2.0. 

#EKG #emergencymedicine #criticalcare #cardiology #internalmedicine
EKG showing prominent ... Serum potassium ... #EKG #emergencymedicine ... Electrocardiogram #ECG
Typical ECG changes associated with hyperkalemia. 
→ Peaked T wave
→ Wide PR interval, Wide QRS duration,
Typical ECG changes ... closely with serum potassium ... such, a normal ECG ... reassuring if elevated potassium ... electrocardiogram #potassium
Mechanisms of Drug-Induced Hyperkalemia 
 • Direct renin inhibitor (Aliskiren)
 • Renin release inhibition (NSAIDs, Beta-Blockers)
• Increased EC ... shift of K (Succinylcholine ... pathophysiology #pharmacology ... #potassium #medications
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Transcellular Shift ... Transcellular shifts ... nephrology #low #potassium
Causes of Hyperkalemia - Differential Diagnosis Algorithm
 • Increased Intake
 • Reduced Excretion (IV potassium with
Excretion (IV potassium ... Transcellular Shift
Diuretics sites of action on the nephron
1) Acetazolamide (carbonic anhydrase inhibitor)
2) Osmotic diuretics (e.g. mannitol)
3) Loop
Osmotic diuretics (e.g ... Loop diuretic (e.g ... Metolazone) 5) Potassium-sparing ... diuretics (e.g. ... nephron #diuretics #pharmacology
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
minutes) Decrease potassium ... • IV Fluids Shift ... potassium intracellularly ... Sodium bicarbonate Potassium ... Hyperkalemia #management #potassium
Flecainide Toxicity on ECG

70 year old patient with chronic atrial fibrillation on an antiarrhythmic presented with
Flecainide Toxicity on ECG ... Potassium normal ... Flecainide #Toxicity #ECG ... #EKG #Electrocardiogram
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Dialysis Serum potassium ... and ECG changes ... blocks, QRS axis shift ... #hyperkalemia #potassium